AANA Journal Issue Details

On The Cover

An infant receives a preoperative evaluation, which is mandatory prior to the administration of anesthesia. In general practice, most nurse anesthetists administer anesthesia to all age groups; however, 1.6% of nurse anesthetists report that they specialize in pediatric anesthesia (source: 2003 AANA Practice Survey)


  • Diagnosis and treatment of negative pressure pulmonary edema in a pediatric patient: A case report In this case report, the authors describe a pediatric patient who presented for elective correction of a speech impediment via a frenuloplasty. The events surrounding the development and diagnosis of negative pressure pulmonary edema and the treatment modalities are discussed.
    Keywords: Extubate, negative pressure pulmonary edema, ventilation.
    Version: 2004;72:337-338. Authors: Susan Davidson, RN, EdD Cherry Guinn, RN, EdD Daniel Gacharna, CRNA, MSN
  • Analgesia and effectiveness of levobupivacaine compared with ropivacaine in patients undergoing an axillary brachial plexus block The authors of this research article conclude that when contemplating the use of levobupivacaine and ropivacaine for brachial plexus anesthesia, levobupivacaine should be considered when postoperative analgesia is a concern but not when an early return of motor activity is required.
    Keywords: Analgesia, brachial plexus block, levobupivacaine, ropivacaine, transarterial axillary block.
    Version: 2004;72:339-345. Authors: LT Erik Cline, CRNA, MSN, NC, USN LCDR Dan Franz, CRNA, MSN, NC, USPHS LCDR Robert D. Polley, CRNA, MSN, NC, USN LCDR John Maye, CRNA, PhD, NC, USN LCDR Joseph Burkard, CRNA, DNSc, NC, USN CDR Joseph Pellegrini, CRNA, DNSc, NC, USN
  • The use of the laryngeal mask airway with mechanical positive pressure ventilation The benefits, safety, and efficacy of the laryngeal mask airway (LMA) are discussed in this review article. In addition, the authors identify the risks and misconceptions associated with LMAs when used with positive pressure ventilation and they point out that the LMA is a safe, effective means of delivering ventilation under anesthesia.
    Keywords: Laryngeal mask airway, positive pressure ventilation, safe use of laryngeal mask airways.
    Version: 2004;72:347-351. Authors: Carrie Chmielewski, CRNA, MSN Suzanne Snyder-Clickett, CRNA, MSN
  • Continuous subcutaneous insulin infusion during general anesthesia: A case report With the advent of continuous subcutaneous insulin infusion (CSII) pumps, the anesthesia practitioner has another tool to assist in providing high quality care to the patient with diabetes. In this case report, the patient wore a CSII during general anesthesia for surgical repair of a herniated lumbar disk.
    Keywords: Continuous subcutaneous insulin infusion, diabetes mellitus, general anesthesia, insulin lispro.
    Version: 2004;72:353-357. Authors: William A. White, Jr, CRNA, MS Helen Vontalvo, CRNA, BA Joshua M. Monday, CRNA, MS
  • The risks of blood transfusions and the shortage of supply leads to the quest for blood substitutes The purpose of this article is to help the reader understand the necessity of blood substitutes and to briefly describe blood substitutes that are in clinical trials. The author states that more research is needed to develop alternatives to allogeneic blood transfusions that are free of complications.
    Keywords: Blood substitutions, Hemolink, Oxygent, perfluorocarbon.
    Version: 2004;72:359-364. Authors: Nicole-Soraya Nouwairi, RN, BSN
  • AANA Journal Course, Part 4 Update for nurse anesthetists -- Preoperative cardiac evaluation As the percentage of Americans older than 65 years continues to grow, so does the prevalence of cardiac disease in this population. This AANA Journal course discusses the American College of Cardiology (ACC) and American Heart Association (AHA) guideline on perioperative cardiovascular evaluation for noncardiac surgery. The intent of the ACC/AHA guideline is to assist clinicians in clinical decision making by describing a range of generally acceptable approaches for the diagnosis, management, and prevention of cardiac diseases.
    Keywords: Cardiac, noncardiac surgery, risk.
    Version: 2004;72:365-371. Authors: Bob Halliburton, CRNA, DNSc Donald Bell, CRNA, DNSc John Preston, CRNA, DNSc